EN Full Denture System Full denture prosthetics for dental technicians customised, precise, aesthetic
Customised and according to dental technology logic. PRECISE CONVENTIONAL IMPRESSION TAKING AUTOMATIC MODEL ANALYSIS / SET-UP AESTHETIC DIGITAL FUNCTIONAL DENTURE EFFICIENT TRY-IN / INDIVIDUAL ADJUSTMENT MILLING OF WAX BASES / ADAPTATION OF TOOTH BASES CUSTOMISED _ Increased convenience when setting up and waxing up _ Elimination of sources of error and gaps in knowledge when setting up _ Full reproducibility of dentures _ Approx. 60 % saving in working time when setting up, which can be used profitably _ No grinding-in needed during setting up (wax contraction, contact points) _ Increased reliability as adjustments are possible after try-in
PRECISE The Ceramill Full Denture System (FDS) for fabricating full dentures is characterised by the consistency and seamless linking of all soft and hardware components, so far unique in dental technology. In contrast to full dentures milled from acrylic, including the dentition, the denture bases fabricated using setting up wax can, if necessary, be adjusted in the dental practice following try-in. The option of adjusting the fit and function of the denture after try-in ensures an exact intermaxillary relationship in the patient. At the same time, this avoids the risk of a denture remake due to incorrect manual bite registration. This guarantees economic use of material without financial risk for the dental laboratory. DIGITISING THE PATIENT SITUATION SCANNING Functional recording and digitisation of patient data with the Artex articulators and Ceramill Transfer Kit Scanning of patient data using the Ceramill Map400 scanner Comparison of time required for the fabrication of full/full dentures. Determined average values. Source: Amann Girrbach R&D Ceramill FDS Manual
CUSTOMISED Development of the Ceramill Full Denture workflow by Amann Girrbach is an ongoing process. The system is therefore being extended to include occlusal adaptation of the denture teeth etc., which will also allow full and partial dentures to be fabricated in future. TIME-SAVING 60 % when setting up DESIGNING BASAL ADAPTATION MILLING (WET) Designing the full denture using the Ceramill D-Flow software Automatic adaptation of the tooth bases to the alveolar ridge Basal adaptation of the denture teeth and milling of the wax base Effective working time: 62 min.* Impression taking Model analysis / Setting up Waxing up Wax base fabrication (CNC) Adaptation of tooth bases (CNC) Try-in Impression taking Effective working time: 162 min. Model analysis / Fabricating the wax base / Setting up Waxing up Try-in
EFFICIENT CONNECT CHECKING Connecting the denture teeth with the wax base Checking the function The teeth can be re-set and high spots eliminated Video of the procedure * incl. additional activities for machine fabrication
Ceramill Mind upgrade module for designing full dentures Ceramill D-Flow is an upgrade module for the Ceramill Mind software and was specially developed for designing customised, precise full dentures. It is used after model fabrication and articulating using the manual procedure and replaces all working stages up to the wax try-in with a seamless digital workflow. The user is automatically guided step-by-step through the working procedure and benefits from a high degree of convenience, efficiency and process reliability. Model analysis Model analysis in the Ceramill D-Flow software is based on the TIF system. The software guides the user through the individual process stages, in which the respective anatomical details are marked. Following this, the joint basic statics of the upper and lower jaw models are calculated in the form of a visual representation of all functionally relevant setting up and tolerance areas. The sets of denture teeth are then selected based on these results followed by automatic recommendation for the set-up. Automatic setting up by the integrated setting up concept The tooth set-ups of the upper and lower are stored in the software according to the contact point guidelines of the tooth manufacturer. The integrated setting up concepts thus guarantee an ideal tooth-to-tooth relationship and form the basis for interference-free function. To ensure an optimally functional and aesthetic outcome, the user receives a best-fit recommendation from the available sets of teeth, which were automatically determined from the values of the previous model analysis. Sources of error and gaps in knowledge when setting up are avoided in this way in favour of a quick, easy solution with accurately fitting results. Customisation of the set-up To meet the aesthetic requirements when setting up the teeth, the set-up can be customised individually or with the aid of the chain tool. If the position of a tooth is changed when working with the chain tool, the adjacent tooth follows automatically whereby the proximal contacts always remain intact. Posterior teeth can be moved in blocks of eight while maintaining the contact relationships and in accordance with the tooth manufacturer s guidelines. This allows the set-up to be adjusted individually, as far as permitted by the limits calculated in the model analysis. 6
The Ceramill D-Flow software enables virtual planning of the upper and lower jaws, taking into account all functional and aesthetic parameters. Commercially available denture tooth ranges with their respective setting up concept were integrated in the software for this purpose. The contact point guidelines of the manufacturer for example were therefore adopted during automatic setting up, ensuring interference-free function of the full/full dentures. Ceramill Artex virtual articulator Excursions of the mandible can be simulated in the virtual articulator. This allows any interfering areas of the teeth in protrusion, laterotrusion and retrusion to be visualised. The dynamic occlusion can be set by moving the teeth directly in the software. Gingiva forming Ceramill D-Flow incorporates the function of automatically creating denture bases and gingiva, which produces an optimum initial basis for quick and easy, yet customised design of denture bases and gingiva. For example, gingival characteristics such as alveoli profiles or papillae contours can be generated and the minimum thickness of the denture base guaranteed using different modelling and setting options. Basal adaptation The denture teeth are automatically adapted basally with a defined gap to the alveolar ridge. Interfering areas are removed later using the Ceramill Motion 2 (5X), eliminating the need for manual basal reworking of the teeth. Further, in future it will be possible to insert rotational security basally into the teeth. _ Digitally guided model analysis is used as the basis for automatic setting up of teeth _ Integrated setting-up concept of the tooth manufacturer ensures perfect occlusion and function _ Best-fit recommendation of the set of teeth with automatic set-up _ Quick, easy customisation and positioning of the anterior teeth _ Perform mandibular excursions in the virtual articulator for setting the required posterior tooth guidance _ Highly aesthetic results and customisable gingiva forming _ Basal adaptation of the denture teeth at the press of a button - time-consuming, manual reworking is no longer required 7
Top function perfect result The Ceramill Full Denture System fabricates full dentures in a working process designed according to dental technology logic that are also characterised not only by perfect occlusal relationships but also by individuality and aesthetics. The Ceramill D-Flow module offers a wide range of functions and design possibilities to meet patient-specific requirements. Design and customisation of the papillae, alveoli, tuberosities and frenula Wax try-in without additional manual editing Design and customisation of the anterior set-up and gingiva with cervical region Wax try-in without additional manual editing Design and customisation of the palatine rugae Wax try-in without additional manual editing Design and customisation of the labial frenum Wax try-in without additional manual editing 8
WORK IN PROGRESS Milling of acrylic bases Milling of the wax base The wax base for functional dentures fabricated using Ceramill FDS is milled in the wet mode with the Ceramill Motion 2 (5X). Special cutters with a longer shank also reach deeper basal cavities and guarantee clean milling of the tooth sockets according to previously defined functional aspects. As the full dentures are fabricated in setting-up wax, any adjustments are possible without problem. _ Fabrication on a wax base enables adjustments and corrections after try-in _ Ceramill CAD/CAM uses a proven, full-denture quality setting-up wax _ Enlarged blank shape covers virtually all types of full dentures _ Gum-coloured blank for aesthetic check intraorally (Class 1 medical device) _ Blank milling under water cooling prevents smearing and distortion, ensuring optimum fit of the denture and teeth in the tooth sockets _ No cutter wear due to milling in wax Ceramill D-Wax quality sheet wax with enlarged blank shape for a wide range of full dentures Roto D-Wax with longer shank for optimum milling results, even with deep basal cavities Ceramill D-Wax blank holder with enlarged recess 9
Adapting the denture teeth Full dentures fabricated using Ceramill FDS obtain maximum aesthetics through the use of high-quality, commercially available denture teeth. These are embedded at the factory with special wax in a blank holder developed specifically for Ceramill CAD/ CAM. The interfering areas on the base of the denture tooth next to the alveolar ridge are adapted in the Ceramill Motion 2 (5X) in approx. 1 minute, depending on the amount of material to be removed. The result is highly precise and functionally prepared denture teeth, which meet the standards of customised, aesthetically high-quality full dentures. In future, Ceramill D-Set denture teeth will be able to be adapted occlusally, which will enable fabrication of full dentures. _ Patented blank holders developed for Ceramill CAD/CAM for easy insertion and automatic basal adaptation of denture teeth in the Ceramill Motion 2 (5X) _ Use of high-quality, commercially available denture teeth for quick, aesthetic and functional results with excellent wearing comfort _ Currently available tooth ranges: Pala Mix&Match teeth (Premium 6, Mondial 6/8, Idealis 8) with excellent shade, shape and functional stability. Other tooth ranges are in validation _ Calibration of blank holder guarantees exact processing of the denture teeth _ Occlusal denture tooth adaptation will in future enable the fabrication of full dentures Automatic basal adaptation of the denture teeth in the Ceramill D-Flow software Ceramill D-Set: commercially available denture teeth for Ceramill CAD/CAM Easy insertion of the basally adapted denture teeth in the tooth sockets of the wax base 10
Working and ordering procedure for customers Day 1 Model analysis Selection of the teeth in the Ceramill D-Flow software Ordering of the tooth blanks from the manufacturer (e.g. Heraeus Kulzer) Design of the full denture Milling of the wax base Day 2 Delivery of the tooth blanks Basal adaptation of the denture teeth Connection, check and try-in 11
Ordering information Software 179147 Ceramill D-Flow (min. Win 7) Hardware 760018 Ceramill FDS Starter Kit for Ceramill Motion 5 (5X) Contents: 760570 Ceramill D-Wax (30 mm) 2 blanks 760301 Ceramill Test (20 mm) 179282 Blank holder M2 (5X) XL 179283 Blank holder M2 (5X) D-Set 179285 Storage bar blank holder 760630 Roto SF1.2 Green 760631 Roto 1.0 Red 760633 Roto 3.0 Red 179286 Spindle cap Ceramill Motion 2 2.0 Ceramill D-Set patented denture tooth blanks Pala Mix&Match DS Pala Premium 6 DS, A2, A3, A3.5 Pala Mondial 6 and 8 DS, A2, A3, A3.5 Pala Idealis 8 DS, A2, A3, A3,5 Ceramill FDS Starter Kit Pala Mix&Match for Ceramill CAD/CAM 12
by Knut Miller
www.hellblau.com 917975 EN 2015 11 K.H. Körholz Live-Interview HEADQUARTER AUSTRIA Amann Girrbach AG Koblach, Austria Fon +43 5523 62333-105 austria@amanngirrbach.com NORTH AMERICA Amann Girrbach North America, LP Charlotte, NC, U.S.A. Fon +1 704 837 1404 america@amanngirrbach.com ASIA Amann Girrbach Asia PTE LTD. Singapore, Asia Fon +65 6592 5190 singapore@amanngirrbach.com GERMANY Amann Girrbach GmbH Pforzheim, Germany Fon +49 7231 957-100 germany@amanngirrbach.com BRASIL Amann Girrbach Brasil LTDA Curitiba, Brasil Fon +55 41 3287 0897 brasil@amanngirrbach.com CHINA Amann Girrbach China Co., Ltd. Beijing, China Fon +86 10 8886 6064 china@amanngirrbach.com www.amanngirrbach.com